Directions: There are 10 questions in this part of the test. Read the passag

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问题    Directions: There are 10 questions in this part of the test. Read the passage through. Then, go back and choose one suitable word or phrase marked A, B, C, or D for each blank in the passage.
The health-care economy is filled with unusual and even unique economic relationships. One of the least understood involves the  (41) roles of producer or "provider" and purchaser or "consumer" in the typical doctor-patient relationship. In most sectors of the economy, it is the seller who attempts to attract a  (42) buyer with various inducements of price, quality, and utility, and it is the buyer who makes the  (43)  . Where circumstances permit the buyer no choice because there is effectively only one seller and the product is relatively  (44)  , government usually asserts monopoly and places the industry under price and other regulations.  (45) of these conditions prevails in most of the health-care industry.
In the health-care industry, the doctor-patient relationship is the mirror image of the ordinary relationship between producer and consumer.  (46) an individual has chosen to see a physician-and even then there may be no real choice-it is the physician who usually makes all significant  (47) decisions: whether the patient should return "next Wednesday", whether drugs should be prescribed, etc. It is a rare and sophisticated patient who will  (48) such professional decisions or raise in advance questions about price, especially when the disease is regarded as serious.
This is particularly significant in  (49) to hospital care. The physician must certify the need for hospitalization, determine what procedures will be performed and announce when the patient may be  (50)  . [br] (41)

选项 A、significant
B、fundamental
C、intricate
D、peculiar

答案 D

解析本题要求填入恰当的形容词，说明典型的医患关系中生产者和购买者的角色。significant意为“重大的，重要的”；fundamental意为“基础的，基本的”；intricate意为“错综复杂的”；peculiar意为“特殊的，特有的”。本句是对段首句即中心思想句的展开论述，因此根据上文可知，这里应该填D，其他选项都不符合上下文的意思。

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